Individual
STEPHANIE R RIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
18 IVY DR, FAYETTEVILLE, TN 37334-7287
(931) 580-7947
Mailing address
18 IVY DR, FAYETTEVILLE, TN 37334-7287
(931) 580-7947
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-105039
AL
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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